| 3D mammogram (tomosynthesis) |
$38 |
$126 |
$68 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$731 |
$2,435 |
$940 |
$284 | |
| Abdominal ultrasound |
$717 |
$2,390 |
$912 |
$100 | |
| Abdominal ultrasound (complete) |
$810 |
$2,701 |
$1,043 |
$114 | |
| Abdominal ultrasound (limited) |
$623 |
$2,078 |
$802 |
$86 | |
| Abscess drainage (complex or multiple) |
$1,419 |
$4,730 |
$1,826 |
$220 | |
| Abscess drainage (simple) |
$814 |
$2,714 |
$1,048 |
$129 | |
| Abscess incision and drainage |
$1,117 |
$3,722 |
$1,183 |
$174 | |
| Adenoid removal (adenoidectomy) |
$1,627 |
$5,422 |
$1,356 |
$204 | |
| Albumin blood test |
$104 |
$348 |
$198 |
$5 | |
| Aldosterone test |
$685 |
$2,284 |
$1,297 |
$41 | |
| Alkaline phosphatase test |
$186 |
$620 |
$352 |
$5 | |
| Alpha-fetoprotein (AFP) test |
$271 |
$903 |
$513 |
$17 | |
| ALT liver enzyme test |
$215 |
$718 |
$408 |
$5 | |
| Ammonia blood test |
$223 |
$742 |
$421 |
$15 | |
| Amniocentesis |
$1,248 |
$4,160 |
$1,040 |
$120 | |
| Amylase test |
$197 |
$656 |
$373 |
$6 | |
| Anoscopy |
$124 |
$413 |
$159 |
$129 | |
| Antinuclear antibody (ANA) test |
$106 |
$353 |
$201 |
$12 | |
| Aortic valve replacement |
$10,612 |
$35,373 |
$8,843 |
$1,603 | |
| Arterial blood gas (ABG) |
$312 |
$1,040 |
$591 |
$26 | |
| AST liver enzyme test |
$215 |
$718 |
$408 |
$5 | |
| Barium swallow study |
$373 |
$1,242 |
$625 |
$107 | |
| Bartholin cyst removal |
$1,063 |
$3,542 |
$1,367 |
$182 | |
| Basic metabolic panel |
$197 |
$657 |
$373 |
$8 | |
| Bilirubin blood test |
$179 |
$596 |
$339 |
$5 | |
| Bladder scope (cystoscopy) |
$611 |
$2,035 |
$786 |
$216 | |
| Blood clotting test (PT/INR) |
$376 |
$1,252 |
$711 |
$4 | |
| Blood crossmatch |
$225 |
$750 |
$426 |
— | |
| Blood glucose test |
$99 |
$332 |
$193 |
$5 | |
| Blood transfusion |
$1,292 |
$4,308 |
$2,236 |
$47 | |
| Blood type and screen |
$133 |
$444 |
$252 |
$10 | |
| Blood type test |
$88 |
$295 |
$171 |
$3 | |
| Blood type test (ABO group) |
$82 |
$274 |
$156 |
$3 | |
| Blood type test (Rh/D antigen) |
$95 |
$315 |
$179 |
$3 | |
| BNP (heart failure) test |
$282 |
$941 |
$534 |
$39 | |
| Bone density scan (DEXA) |
$320 |
$1,067 |
$606 |
$39 | |
| Bone marrow biopsy |
$3,824 |
$12,747 |
$4,820 |
$172 | |
| Bone scan (nuclear) |
$1,358 |
$4,527 |
$2,571 |
$259 | |
| Breast biopsy |
$2,420 |
$8,068 |
$5,222 |
$478 | |
| Breast MRI |
$312 |
$1,039 |
$474 |
$216 | |
| Breast MRI without contrast |
$368 |
$1,228 |
$797 |
$216 | |
| Breast ultrasound |
$560 |
$1,866 |
$1,260 |
$92 | |
| Breast ultrasound (limited) |
$560 |
$1,866 |
$1,260 |
$84 | |
| Breathing tube insertion (intubation) |
$647 |
$2,157 |
$833 |
$133 | |
| Bronchoscopy |
$2,103 |
$7,010 |
$2,839 |
$303 | |
| Burn dressing and debridement (medium) |
$585 |
$1,949 |
$487 |
$166 | |
| Burn dressing and debridement (small) |
$545 |
$1,817 |
$701 |
$93 | |
| Burn treatment |
$565 |
$1,883 |
$594 |
$129 | |
| C-reactive protein (CRP) |
$80 |
$268 |
$152 |
$5 | |
| CA 19-9 tumor marker test |
$112 |
$374 |
$212 |
$21 | |
| CA-125 ovarian marker test |
$158 |
$527 |
$299 |
$21 | |
| Calcium blood test |
$141 |
$469 |
$266 |
$5 | |
| Capsule endoscopy |
$2,498 |
$8,325 |
$4,071 |
$802 | |
| Cardiac ablation |
$17,358 |
$57,860 |
$32,864 |
$759 | |
| Cardiac catheterization |
$8,470 |
$28,233 |
$14,195 |
$1,049 | |
| Cardiac MRI |
$1,442 |
$4,807 |
$1,669 |
$322 | |
| Cardiac MRI without contrast |
$1,297 |
$4,323 |
$1,669 |
$280 | |
| Cardiac rehabilitation |
$170 |
$565 |
$293 |
$26 | |
| Cardiac stress test |
$760 |
$2,534 |
$1,315 |
$39 | |
| Cardioversion |
$3,239 |
$10,798 |
$5,604 |
$155 | |
| Carotid artery ultrasound |
$698 |
$2,327 |
$1,203 |
$156 | |
| CEA tumor marker test |
$335 |
$1,115 |
$633 |
$19 | |
| Central line placement |
$2,265 |
$7,551 |
$1,888 |
$238 | |
| Cervical cerclage |
$4,930 |
$16,432 |
$4,108 |
$137 | |
| Chemotherapy infusion |
$347 |
$1,156 |
$684 |
$81 | |
| Chemotherapy infusion (each additional) |
$257 |
$856 |
$486 |
$28 | |
| Chemotherapy infusion (first hour) |
$437 |
$1,456 |
$827 |
$133 | |
| Chest fluid drain (thoracentesis) |
$1,722 |
$5,740 |
$2,216 |
$311 | |
| Chest tube insertion |
$2,214 |
$7,382 |
$1,845 |
$143 | |
| Chest X-ray |
$463 |
$1,542 |
$740 |
$37 | |
| Chest X-ray (1 view) |
$258 |
$861 |
$447 |
$25 | |
| Chest X-ray (2 views) |
$440 |
$1,468 |
$762 |
$33 | |
| Circumcision |
$5,038 |
$16,793 |
$8,716 |
$167 | |
| CK-MB heart enzyme test |
$249 |
$829 |
$471 |
$12 | |
| Clotting time test (PTT) |
$376 |
$1,252 |
$711 |
$6 | |
| Colonoscopy |
$1,741 |
$5,803 |
$2,240 |
$480 | |
| Complete blood count (CBC) |
$158 |
$526 |
$319 |
$7 | |
| Complete blood count (CBC) (complete) |
$185 |
$617 |
$350 |
$8 | |
| Complex wound repair |
$708 |
$2,359 |
$590 |
$390 | |
| Comprehensive metabolic panel |
$211 |
$703 |
$399 |
$11 | |
| Contraceptive implant (Nexplanon) |
$365 |
$1,217 |
$304 |
$115 | |
| Copper blood test |
$278 |
$927 |
$527 |
$12 | |
| Coronary CT angiography |
$1,644 |
$5,481 |
$2,116 |
$326 | |
| Cortisol test |
$335 |
$1,115 |
$633 |
$16 | |
| COVID-19 PCR test |
$58 |
$194 |
$110 |
$51 | |
| CPAP titration study |
$712 |
$2,373 |
$1,208 |
$69 | |
| Creatine kinase (CK) test |
$181 |
$603 |
$343 |
$7 | |
| CT angiography of the chest |
$1,637 |
$5,455 |
$2,106 |
$281 | |
| CT angiography of the head |
$1,415 |
$4,715 |
$1,820 |
$274 | |
| CT scan of the abdomen |
$1,119 |
$3,730 |
$1,304 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,285 |
$7,616 |
$2,622 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,789 |
$9,298 |
$3,589 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,285 |
$7,616 |
$2,940 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,038 |
$6,794 |
$2,622 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,475 |
$4,915 |
$1,897 |
$259 | |
| CT scan of the abdomen with contrast |
$1,119 |
$3,730 |
$1,440 |
$230 | |
| CT scan of the abdomen without contrast |
$1,013 |
$3,378 |
$1,304 |
$136 | |
| CT scan of the arm |
$1,342 |
$4,473 |
$1,335 |
$199 | |
| CT scan of the arm with contrast |
$1,602 |
$5,339 |
$1,374 |
$199 | |
| CT scan of the arm without contrast |
$851 |
$2,836 |
$1,095 |
$161 | |
| CT scan of the chest |
$1,219 |
$4,062 |
$1,207 |
$167 | |
| CT scan of the chest with and without contrast |
$1,328 |
$4,428 |
$1,709 |
$196 | |
| CT scan of the chest with contrast |
$1,219 |
$4,062 |
$1,568 |
$167 | |
| CT scan of the chest without contrast |
$938 |
$3,127 |
$1,207 |
$133 | |
| CT scan of the head |
$1,665 |
$5,551 |
$2,109 |
$148 | |
| CT scan of the head with and without contrast |
$2,001 |
$6,671 |
$2,575 |
$173 | |
| CT scan of the head with contrast |
$1,665 |
$5,551 |
$2,143 |
$148 | |
| CT scan of the head without contrast |
$1,639 |
$5,464 |
$2,109 |
$107 | |
| CT scan of the leg |
$1,127 |
$3,755 |
$1,408 |
$166 | |
| CT scan of the leg with contrast |
$1,607 |
$5,357 |
$1,378 |
$166 | |
| CT scan of the leg without contrast |
$934 |
$3,112 |
$1,201 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,230 |
$4,100 |
$1,583 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$2,719 |
$9,063 |
$3,498 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,230 |
$4,100 |
$1,583 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,154 |
$3,847 |
$1,485 |
$130 | |
| CT scan of the neck |
$1,324 |
$4,412 |
$1,277 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,568 |
$5,227 |
$1,911 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,073 |
$6,910 |
$2,667 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,568 |
$5,227 |
$2,018 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,485 |
$4,951 |
$1,911 |
$131 | |
| CT scan of the neck with and without contrast |
$1,363 |
$4,542 |
$1,753 |
$220 | |
| CT scan of the neck with contrast |
$1,324 |
$4,412 |
$1,703 |
$183 | |
| CT scan of the neck without contrast |
$992 |
$3,308 |
$1,277 |
$150 | |
| CT scan of the pelvis |
$1,167 |
$3,890 |
$1,097 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,316 |
$4,386 |
$1,693 |
$251 | |
| CT scan of the pelvis with contrast |
$1,167 |
$3,890 |
$1,502 |
$226 | |
| CT scan of the pelvis without contrast |
$821 |
$2,736 |
$1,056 |
$133 | |
| CT scan of the sinuses |
$1,316 |
$4,386 |
$1,488 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,383 |
$4,609 |
$1,779 |
$184 | |
| CT scan of the sinuses with contrast |
$1,316 |
$4,386 |
$1,693 |
$152 | |
| CT scan of the sinuses without contrast |
$1,156 |
$3,854 |
$1,488 |
$128 | |
| D-dimer test |
$229 |
$762 |
$433 |
$10 | |
| Defibrillator (ICD) implant |
$25,607 |
$85,358 |
$32,948 |
$798 | |
| DHEA-sulfate test |
$428 |
$1,426 |
$810 |
$22 | |
| Diagnostic mammogram |
$330 |
$1,100 |
$648 |
$140 | |
| Drug screen (urine) |
$838 |
$2,793 |
$256 |
$17 | |
| Echocardiogram |
$815 |
$2,715 |
$1,526 |
$138 | |
| Echocardiogram with and without contrast |
$532 |
$1,774 |
$921 |
$101 | |
| Echocardiogram without contrast |
$815 |
$2,715 |
$1,409 |
$138 | |
| EEG (awake and asleep) |
$711 |
$2,370 |
$1,230 |
$482 | |
| EKG / ECG (tracing only) |
$294 |
$980 |
$509 |
$7 | |
| Electrocardiogram (EKG) |
$294 |
$980 |
$509 |
$8 | |
| Electroencephalogram (EEG) |
$750 |
$2,500 |
$1,288 |
$448 | |
| Electrolyte panel |
$149 |
$496 |
$282 |
$7 | |
| Electromyography (EMG) |
$795 |
$2,649 |
$748 |
$141 | |
| Emergency department visit |
$780 |
$2,601 |
$1,302 |
$69 | |
| Emergency department visit (level 1) |
$454 |
$1,514 |
$860 |
$11 | |
| Emergency department visit (level 2) |
$545 |
$1,815 |
$417 |
$40 | |
| Emergency department visit (level 3) |
$780 |
$2,601 |
$598 |
$69 | |
| Emergency department visit (level 4) |
$1,164 |
$3,881 |
$2,204 |
$118 | |
| Emergency department visit (level 5) |
$1,628 |
$5,428 |
$3,083 |
$171 | |
| Endometrial biopsy |
$383 |
$1,277 |
$493 |
$98 | |
| Epidural steroid injection |
$2,874 |
$9,581 |
$3,698 |
$275 | |
| ERCP (bile duct endoscopy) |
$5,625 |
$18,750 |
$7,238 |
$311 | |
| Esophageal dilation |
$1,559 |
$5,196 |
$2,006 |
$522 | |
| Estradiol (estrogen) test |
$409 |
$1,362 |
$774 |
$28 | |
| Fallopian tube X-ray (HSG) |
$472 |
$1,574 |
$765 |
$164 | |
| Family therapy session |
$455 |
$1,515 |
$379 |
$110 | |
| Feeding tube (PEG) placement |
$3,418 |
$11,394 |
$4,398 |
$178 | |
| Ferritin (iron) test |
$231 |
$769 |
$437 |
$14 | |
| Fibrinogen test |
$143 |
$476 |
$270 |
$10 | |
| Flexible sigmoidoscopy |
$1,015 |
$3,382 |
$1,305 |
$323 | |
| Flu test |
$19 |
$63 |
$36 |
$17 | |
| Folate (folic acid) test |
$218 |
$728 |
$414 |
$15 | |
| Foreign body removal (skin) |
$1,267 |
$4,222 |
$1,630 |
$157 | |
| Free T4 thyroid test |
$314 |
$1,046 |
$594 |
$9 | |
| FSH hormone test |
$273 |
$911 |
$517 |
$19 | |
| Gallbladder scan (HIDA) |
$1,938 |
$6,461 |
$3,670 |
$334 | |
| GGT liver test |
$181 |
$603 |
$343 |
$7 | |
| Glucose tolerance test |
$90 |
$299 |
$121 |
$8 | |
| Group therapy session |
$426 |
$1,420 |
$355 |
$30 | |
| HDL cholesterol test |
$157 |
$523 |
$297 |
$8 | |
| Hematocrit test |
$60 |
$201 |
$114 |
$2 | |
| Hemodialysis |
$809 |
$2,696 |
$1,399 |
$75 | |
| Hemoglobin A1c (diabetes test) |
$138 |
$461 |
$74 |
$10 | |
| Hepatitis B test |
$94 |
$312 |
$177 |
$10 | |
| Hepatitis C test |
$103 |
$343 |
$195 |
$14 | |
| HIV test |
$101 |
$338 |
$207 |
$19 | |
| HIV test (antibody) |
$89 |
$295 |
$168 |
$14 | |
| HIV test (antigen/antibody combo) |
$114 |
$381 |
$216 |
$24 | |
| Holter heart monitor |
$272 |
$908 |
$227 |
$26 | |
| Home sleep apnea test |
$144 |
$480 |
$273 |
$123 | |
| Iron blood test |
$131 |
$435 |
$247 |
$6 | |
| IUD removal |
$310 |
$1,032 |
$258 |
$112 | |
| IV infusion therapy |
$299 |
$996 |
$533 |
$44 | |
| IV infusion therapy (each additional) |
$233 |
$777 |
$403 |
$21 | |
| IV infusion therapy (initial) |
$365 |
$1,215 |
$631 |
$67 | |
| IVC filter placement |
$5,859 |
$19,529 |
$7,538 |
$1,885 | |
| Joint aspiration (small/intermediate) |
$509 |
$1,697 |
$526 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$597 |
$1,991 |
$769 |
$57 | |
| Joint aspiration or injection (small joint) |
$421 |
$1,402 |
$526 |
$56 | |
| Kidney biopsy |
$1,607 |
$5,356 |
$2,067 |
$492 | |
| Kidney scan (nuclear) |
$1,847 |
$6,158 |
$3,498 |
$172 | |
| Kidney ultrasound |
$676 |
$2,255 |
$838 |
$84 | |
| Kidney ultrasound (limited) |
$572 |
$1,908 |
$736 |
$61 | |
| Knee joint injection |
$1,472 |
$4,908 |
$1,263 |
$69 | |
| Lactate test |
$242 |
$807 |
$458 |
$12 | |
| Laryngoscopy |
$1,190 |
$3,968 |
$659 |
$189 | |
| LDH test |
$150 |
$499 |
$283 |
$6 | |
| LDL cholesterol test |
$62 |
$206 |
$117 |
$11 | |
| Leg artery angiogram |
$2,778 |
$9,261 |
$4,806 |
$149 | |
| Leg vein ultrasound (Doppler) |
$987 |
$3,291 |
$1,639 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$778 |
$2,594 |
$1,346 |
$116 | |
| LH hormone test |
$413 |
$1,377 |
$782 |
$19 | |
| Lipase test |
$192 |
$640 |
$364 |
$7 | |
| Lipid (cholesterol) panel |
$176 |
$585 |
$332 |
$13 | |
| Liver biopsy |
$1,385 |
$4,617 |
$1,782 |
$288 | |
| Liver function panel |
$89 |
$296 |
$168 |
$8 | |
| Lung function test (PFT) |
$396 |
$1,319 |
$733 |
$37 | |
| Lung scan (V/Q) |
$1,359 |
$4,529 |
$2,572 |
$291 | |
| Magnesium blood test |
$193 |
$642 |
$365 |
$7 | |
| MRA of the brain |
$1,264 |
$4,214 |
$1,543 |
$226 | |
| MRA of the brain with contrast |
$1,264 |
$4,214 |
$1,054 |
$226 | |
| MRA of the brain without contrast |
$1,852 |
$6,172 |
$2,382 |
$328 | |
| MRA of the neck |
$1,478 |
$4,927 |
$1,425 |
$245 | |
| MRA of the neck with contrast |
$1,478 |
$4,927 |
$1,902 |
$245 | |
| MRA of the neck without contrast |
$1,710 |
$5,699 |
$2,200 |
$343 | |
| MRI of the abdomen |
$1,840 |
$6,134 |
$1,735 |
$300 | |
| MRI of the abdomen with contrast |
$1,840 |
$6,134 |
$2,368 |
$300 | |
| MRI of the abdomen without contrast |
$1,349 |
$4,495 |
$1,735 |
$194 | |
| MRI of the ankle |
$1,610 |
$5,368 |
$2,050 |
$261 | |
| MRI of the ankle with contrast |
$1,594 |
$5,312 |
$2,050 |
$261 | |
| MRI of the ankle without contrast |
$2,071 |
$6,903 |
$1,776 |
$222 | |
| MRI of the brain |
$1,367 |
$4,556 |
$1,599 |
$269 | |
| MRI of the brain with contrast |
$1,367 |
$4,556 |
$1,759 |
$269 | |
| MRI of the brain without contrast |
$1,243 |
$4,143 |
$1,599 |
$195 | |
| MRI of the chest |
$1,938 |
$6,459 |
$2,428 |
$371 | |
| MRI of the chest without contrast |
$1,887 |
$6,289 |
$2,428 |
$466 | |
| MRI of the knee |
$3,257 |
$10,856 |
$3,208 |
$315 | |
| MRI of the knee with contrast |
$3,850 |
$12,833 |
$3,302 |
$315 | |
| MRI of the knee without contrast |
$1,715 |
$5,715 |
$2,206 |
$204 | |
| MRI of the lower back (lumbar spine) |
$1,840 |
$6,132 |
$1,827 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$1,840 |
$6,132 |
$2,367 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,380 |
$4,600 |
$1,776 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,551 |
$5,169 |
$1,754 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$1,890 |
$6,299 |
$2,431 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,551 |
$5,169 |
$1,995 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,363 |
$4,543 |
$1,754 |
$190 | |
| MRI of the neck (cervical spine) |
$1,892 |
$6,307 |
$1,735 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,082 |
$6,940 |
$2,679 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$1,892 |
$6,307 |
$2,435 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,254 |
$4,181 |
$1,614 |
$191 | |
| MRI of the pelvis |
$1,539 |
$5,130 |
$1,525 |
$268 | |
| MRI of the pelvis with contrast |
$1,830 |
$6,099 |
$2,354 |
$268 | |
| MRI of the pelvis without contrast |
$1,128 |
$3,761 |
$1,452 |
$227 | |
| MRI of the shoulder |
$1,900 |
$6,334 |
$1,931 |
$313 | |
| MRI of the shoulder with contrast |
$1,900 |
$6,334 |
$2,445 |
$313 | |
| MRI of the shoulder without contrast |
$2,088 |
$6,959 |
$1,791 |
$205 | |
| MRI of the wrist |
$1,471 |
$4,904 |
$1,893 |
$330 | |
| MRI of the wrist with contrast |
$1,471 |
$4,904 |
$1,893 |
$330 | |
| MRI of the wrist without contrast |
$1,399 |
$4,663 |
$1,800 |
$303 | |
| Nebulizer breathing treatment |
$198 |
$660 |
$336 |
$9 | |
| Nerve conduction study |
$525 |
$1,751 |
$769 |
$118 | |
| Nuclear cardiac stress test |
$3,417 |
$11,389 |
$6,469 |
$428 | |
| Occupational therapy evaluation |
$120 |
$400 |
$140 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$132 |
$440 |
$170 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$109 |
$363 |
$140 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$120 |
$400 |
$154 |
$101 | |
| Pap smear (cervical screening) |
$131 |
$437 |
$162 |
$20 | |
| Parathyroid hormone (PTH) test |
$473 |
$1,576 |
$895 |
$41 | |
| Pelvic ultrasound |
$542 |
$1,805 |
$597 |
$78 | |
| Pelvic ultrasound (complete) |
$716 |
$2,388 |
$922 |
$105 | |
| Pelvic ultrasound (limited) |
$367 |
$1,222 |
$472 |
$51 | |
| PET scan |
$5,467 |
$18,224 |
$10,376 |
— | |
| Phosphorus blood test |
$133 |
$444 |
$252 |
$5 | |
| Physical therapy evaluation |
$124 |
$412 |
$144 |
$98 | |
| Physical therapy evaluation (high complexity) |
$136 |
$454 |
$175 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$124 |
$412 |
$159 |
$98 | |
| Platelet count |
$101 |
$335 |
$190 |
$4 | |
| Pregnancy blood test (hCG) |
$242 |
$807 |
$458 |
$8 | |
| Pregnancy ultrasound |
$667 |
$2,224 |
$1,106 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$578 |
$1,928 |
$1,001 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$756 |
$2,519 |
$1,307 |
$136 | |
| Procalcitonin test |
$354 |
$1,179 |
$670 |
$27 | |
| Prolactin test |
$242 |
$805 |
$457 |
$19 | |
| Prostate test (PSA) |
$166 |
$553 |
$314 |
$18 | |
| Psychotherapy session |
$443 |
$1,476 |
$721 |
$140 | |
| Scoliosis spine X-ray |
$831 |
$2,772 |
$1,435 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$792 |
$2,640 |
$1,370 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$871 |
$2,903 |
$1,507 |
$72 | |
| Screening mammogram |
$341 |
$1,136 |
$645 |
$126 | |
| Scrotal ultrasound |
$612 |
$2,041 |
$788 |
$99 | |
| Sedimentation rate (ESR) test |
$108 |
$361 |
$205 |
$3 | |
| Sex hormone binding globulin test |
$173 |
$576 |
$327 |
$22 | |
| Simple laceration repair (small, up to 2.5 cm) |
$734 |
$2,448 |
$612 |
$114 | |
| Simple wound stitches |
$735 |
$2,451 |
$614 |
$127 | |
| Skin biopsy |
$350 |
$1,168 |
$451 |
$121 | |
| Skin biopsy (punch) |
$350 |
$1,168 |
$451 |
$121 | |
| Sleep study (polysomnography) |
$3,010 |
$10,032 |
$5,698 |
$691 | |
| Soft tissue ultrasound |
$633 |
$2,109 |
$926 |
$64 | |
| Speech therapy |
$208 |
$694 |
$268 |
$76 | |
| Spinal tap (lumbar puncture) |
$1,054 |
$3,512 |
$878 |
$165 | |
| Spine fracture repair (kyphoplasty) |
$8,311 |
$27,703 |
$10,693 |
$5,803 | |
| Spirometry (lung function test) |
$291 |
$969 |
$503 |
$30 | |
| Spirometry with bronchodilator |
$501 |
$1,669 |
$866 |
$43 | |
| Strep throat test |
$107 |
$357 |
$203 |
$17 | |
| Stress echocardiogram |
$1,371 |
$4,570 |
$2,497 |
$209 | |
| Stress echocardiogram (complete) |
$919 |
$3,064 |
$766 |
$233 | |
| Swallow study |
$218 |
$726 |
$327 |
$85 | |
| T3 thyroid test |
$249 |
$829 |
$471 |
$14 | |
| Testosterone test |
$550 |
$1,833 |
$1,041 |
$26 | |
| Thyroid test (TSH) |
$298 |
$992 |
$563 |
$17 | |
| Thyroid ultrasound |
$600 |
$1,999 |
$1,037 |
$109 | |
| Thyroid uptake scan |
$928 |
$3,094 |
$1,769 |
$145 | |
| Tilt table test |
$518 |
$1,728 |
$897 |
$168 | |
| Total IgE allergy test |
$70 |
$234 |
$133 |
$16 | |
| Total protein test |
$136 |
$452 |
$257 |
$4 | |
| Transesophageal echocardiogram (TEE) |
$1,003 |
$3,342 |
$2,056 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,501 |
$5,003 |
$2,597 |
$239 | |
| Transvaginal ultrasound |
$621 |
$2,070 |
$1,074 |
$118 | |
| Trigger point injection |
$600 |
$2,001 |
$772 |
$56 | |
| Trigger point injection (1-2 muscles) |
$600 |
$2,001 |
$772 |
$52 | |
| Triglycerides test |
$116 |
$388 |
$220 |
$6 | |
| Troponin (heart) test |
$263 |
$878 |
$499 |
$12 | |
| Turning a breech baby (version) |
$3,173 |
$10,578 |
$4,083 |
$94 | |
| Upper GI endoscopy (EGD) |
$1,710 |
$5,699 |
$2,187 |
$371 | |
| Upper GI series (barium) |
$566 |
$1,888 |
$980 |
$128 | |
| Uric acid (gout) test |
$141 |
$469 |
$266 |
$5 | |
| Urinalysis |
$56 |
$187 |
$113 |
$3 | |
| Urine microalbumin test |
$146 |
$486 |
$191 |
$5 | |
| Urine pregnancy test |
$82 |
$274 |
$156 |
$9 | |
| Vaccine administration |
$97 |
$323 |
$162 |
$19 | |
| Vaccine administration (each additional) |
$83 |
$277 |
$69 |
$16 | |
| Varicose vein ablation |
$4,569 |
$15,232 |
$5,089 |
$1,018 | |
| Vitamin B12 test |
$215 |
$718 |
$408 |
$15 | |
| Vitamin D test |
$459 |
$1,530 |
$869 |
$30 | |
| Wound debridement |
$749 |
$2,498 |
$821 |
$186 | |
| X-ray of the abdomen |
$318 |
$1,060 |
$518 |
$36 | |
| X-ray of the ankle |
$458 |
$1,525 |
$1,004 |
$37 | |
| X-ray of the collarbone |
$588 |
$1,959 |
$860 |
$33 | |
| X-ray of the elbow |
$429 |
$1,429 |
$941 |
$33 | |
| X-ray of the facial bones |
$417 |
$1,390 |
$760 |
$39 | |
| X-ray of the foot |
$465 |
$1,551 |
$1,021 |
$34 | |
| X-ray of the forearm |
$400 |
$1,333 |
$900 |
$29 | |
| X-ray of the hand |
$701 |
$2,336 |
$1,025 |
$38 | |
| X-ray of the hip |
$306 |
$1,021 |
$500 |
$49 | |
| X-ray of the hip (1 view) |
$250 |
$833 |
$432 |
$34 | |
| X-ray of the hip (3 views) |
$306 |
$1,021 |
$530 |
$49 | |
| X-ray of the hip (4 views) |
$337 |
$1,124 |
$583 |
$63 | |
| X-ray of the knee |
$488 |
$1,628 |
$993 |
$42 | |
| X-ray of the knee (2 views) |
$395 |
$1,316 |
$867 |
$34 | |
| X-ray of the knee (3 views) |
$679 |
$2,262 |
$993 |
$42 | |
| X-ray of the knee (4+ views) |
$488 |
$1,628 |
$1,072 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$566 |
$1,886 |
$1,011 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$440 |
$1,468 |
$762 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$691 |
$2,303 |
$1,195 |
$53 | |
| X-ray of the lower leg |
$400 |
$1,333 |
$878 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$481 |
$1,603 |
$812 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$448 |
$1,494 |
$775 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$514 |
$1,712 |
$889 |
$39 | |
| X-ray of the neck (cervical spine) |
$471 |
$1,569 |
$787 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$404 |
$1,346 |
$699 |
$40 | |
| X-ray of the pelvis |
$509 |
$1,698 |
$878 |
$36 | |
| X-ray of the pelvis (1 view) |
$418 |
$1,394 |
$723 |
$28 | |
| X-ray of the ribs |
$558 |
$1,859 |
$1,013 |
$42 | |
| X-ray of the ribs (2 views) |
$476 |
$1,585 |
$823 |
$36 | |
| X-ray of the ribs (3 views) |
$558 |
$1,859 |
$965 |
$42 | |
| X-ray of the shoulder |
$385 |
$1,284 |
$867 |
$36 | |
| X-ray of the skull |
$499 |
$1,664 |
$933 |
$40 | |
| X-ray of the upper arm |
$429 |
$1,429 |
$941 |
$32 | |
| X-ray of the wrist |
$675 |
$2,250 |
$988 |
$43 | |
| YAG laser capsulotomy (eye) |
$940 |
$3,134 |
$1,210 |
$335 | |
| Zinc blood test |
$209 |
$697 |
$396 |
$11 | |